Registration Form
Which course
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Student Name
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Student's Gender
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Male
Female
Student's Date of Birth
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Contact Number/WhatsApp
*
Do you recieve Text at this number?
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Yes
No
Address
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City
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Zip Code
*
Please Select your Preferred Session
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8 weeks ($1,500.00 ) Special Any Course
Saturday’s 9:00am - 10:00am
Payment plan :
Deposit: $1,500.00
30th Dec,22
classes are online, payments are via bank
How did you find us?
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Sign
Flyer
Google/Other search engine
Facebook
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Hometown Values
Other
If you were referred by a friend please let us know who, so we can thank them!
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